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Organization
WAYNESVILLE FAMILY PRACTICE CENTER PA
Active
Organization
WAYNESVILLE FAMILY PRACTICE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WAYNE PASS MD (PRESIDENT)
(828) 456-3511
Entity
Organization
Contact information
Practice address
1272 EAST STREET, WAYNESVILLE, NC 28786-3437
(828) 456-3511
(828) 456-3583
Mailing address
1272 EAST STREET, WAYNESVILLE, NC 28786-3437
(828) 456-3511
(828) 456-3583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02994
BC/BS NC
NC
05
—
8902994
—
NC
Enumeration date
10/10/2006
Last updated
07/20/2010
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